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319953 12/21/17 e Ong' CITY OF CARMEL, INDIANA VENDOR: 00352848 ONE CIVIC SQUARE INTERNATL CONF OF POLICE CHAPLAIp iECK AMOUNT: $ .....**125.00* CARMEL, INDIANA 46032 PO BOX 5590 CHECK NUMBER: 319953 9M, DESTINFL 32540 CHECK DATE: 12/21/17 DEPARTMENT_ ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 50259 125.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00352848 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INTERNATL CONF OF POLICE CHAPLAINS IN SUM OF$ CITY OF CARMEL PO BOX 5590 An invoice or bill to be property itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DESTIN, FL 32540 Payee $125.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 50259 43-553.00 $125.00 1 hereby certify that the attached invoice(s),or 12/11/17 50259 annual membership-Davis $125.00 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, December 13, 2017 ac'. 120 %, Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer International Conference of Police Chaplains PO Box 5590 G \. Destin, FL 32540-5590 50259 850-654-9736 Invoice ® 850-654-9742 fax Due upon receipt � y icpc@icpc4cops.org U. S.funds only. Do not send cash. Bill To Carmel Police Department Invoice $ `2S-l-0 Donation$ Attn: Pat Young 3 Civic Square Chaplain's Name Date Carmel, IN 46032 Chaplain George W. Davis 1/1/2018 To reduce returned mail charges, please verify the chaplain's mailing address. Email updates and/or changes to: icpc@icpc4cops.org Description Amount Annual Membership Chaplain George W. Davis 125.00 Balance Due $125.00 Training Seminars Location, dates and hotel information available by visiting: www.icpc4cops.org Visa or MasterCard authorization: 850-654-9736, icpc@icp4cops.org or FAX 850-654-9742. I I Authorized Amount: $ Card Type Agency Church Personal I I I Card# / / / Expiration Month/Year / Card Holder's Name: Phone#: Email: Future Invoices Electronically: Yes No i Department/Organization Name: Save your organization money...RENEW TODAY! -------------------------------------------------------------------------------------------------------------------------------------------- I i ICPC is a 501(c)3 non-profit organization, your donations are tax deductible. Donations can be made by.check, credit card or via our website: www.icpc4cops.org